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Review
. 2025 Sep;29(3):798-813.
doi: 10.1177/17446295241278477. Epub 2024 Sep 3.

Trauma-informed counseling for individuals who have an intellectual developmental disorder: Considerations for mental health counselors

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Review

Trauma-informed counseling for individuals who have an intellectual developmental disorder: Considerations for mental health counselors

Christine A McAllister et al. J Intellect Disabil. 2025 Sep.

Abstract

Individuals with an intellectual developmental disorder are four times more likely to have a co-occurring mental health diagnosis, as compared to the general population, and 60%-80% of individuals with IDDs have experienced at least one form of abuse. However, counselors receive little training to adequately help this population. In this article, counseling considerations related to individuals who have intellectual development disorder are discussed, with a particular focus on the presence of trauma in this population. Trauma-focused treatment, potential mental health issues, counseling considerations, general issues related to counseling this population, and common associated mental health experiences among this population are addressed. Specific evidence-based counseling approaches, modifications to counseling, and best practices that can be helpful when counseling this population are presented. Due to the unique challenges that individuals with IDDs face, it is essential that counselors address the counseling and mental health needs of this population.

Keywords: ethics; intellectual developmental disorder; intellectual disability; mental health counseling; trauma.

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Conflict of interest statement

Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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